Efficacy of a geriatrics team intervention for residents in dementia-specific assisted living facilities: effect on unanticipated transitions

Journal of the American Geriatrics Society
Sandra BellantonioPatricia M Trella

Abstract

To determine whether a multidisciplinary team intervention minimizes unanticipated transitions from assisted living for persons with dementia. Randomized trial. Two dementia-specific assisted living facilities in Connecticut owned and managed by the same corporation. One hundred older adults with dementia who relocated to assisted living. Four systematic multidisciplinary assessments by a geriatrician, geriatrics advanced practice nurse, physical therapist, dietitian, and social worker during the first 9 months of relocation to assisted living. Permanent relocation to a nursing facility, emergency department (ED) visits, hospitalization, and death. Fifty-five residents experienced any unanticipated transition out of assisted living, on average 84 +/- 74 days after relocation; falls were the primary reason for transition. The intervention reduced the risk of any unanticipated transitions (13%), permanent relocation to a nursing facility (11%), ED visits (12%), hospitalization (45%), and death (63%), but the results did not meet statistical significance. In secondary analysis, more men experienced any unanticipated transition (P<.001), hospitalization (P<.001), or death (P<.001) than women. Although an untargeted multidisciplinar...Continue Reading

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